Vanessa Rochelle Chavez, CSW
Individual provider Active NPI Counselor · Santa Rosa, NM
NPI 1821762824 · NPPES record last updated Aug 3, 2021
Key facts
- NPI
- 1821762824
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 1047 Lake Dr
1004 Cinnamon Loop Apt 17
Santa Rosa, NM 88435 - Phone
- (575) 512-5425
- NPI assigned
- Aug 3, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
1047 Lake Dr
1004 Cinnamon Loop Apt 17
Santa Rosa, NM 88435
Mailing address
1047 Lake Dr
1004 Cinnamon Loop Apt 17
Santa Rosa, NM 88435
Phone (575) 512-5425
Other providers in Santa Rosa, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 3, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.